Clinical Practice and Nursing Research Paper

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Pamel Reeds Theory of Self-Transcendence

Self-transcendence refers to the ability of a human being to find meaning by being drawn towards someone or something other than themselves. The theory finds its roots from Rogers' Theory of Unitary Beings (Reed, 2009, p.397). The theory puts forth four ways in which self transcendence can be accomplished. The four ways are intrapersonal, transpersonal, interpersonal and temporal (Palmer, Quinn, Palmer, & Fitzpatrick, 2010).

Aim of the theory

The aim of the theory is to provide nurses with a framework for practice and inquiry as pertains to the promotion of well-beings amidst complicated life situations.

Concept

Self -- transcendence: Reed theorizes that people who face life-threatening situations may experience an unusually expanded awareness of their environment and that self-transcendence can be expressed through their behaviors, ideas and perspectives. They become more accepting of death, let go of loss and are open to finding spiritual meaning (Haugan, Rannestad, Garasen, & Espnes, 2011).

Well being: Reed refers to well being as having a sense of wholeness and health as pertains to the one's standards on health and wholeness (Haugan, Rannestad, Garasen & Espenes, 2011).

Vulnerability: Refers to an individual's awareness of their own mortality and their experience of trying events.

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Attributes

Caring Presence: Is about the idea of being touching, caring, available and being able to lend spiritual and emotional support (Kliewer 2004).

Search for meaning and purpose: searches for life's ontological significance (Villagomeza 2005).

Transcendence: Involves going beyond one's limitations to gain a greater understanding of the universe and oneself. Transcendence is one of the ways one can experience the world (Armstrong, 2008). Patients may become aware of a higher power and seek intervention through faith (Touchy et al. 2005).

Harmonious interconnectedness: Can be manifest in having a healthy relationship with God, the environment and self.

Model Case

Nurse A takes of a middle-aged patient named John in a neurological unit. John was involved in an accident. Nurse A expresses love, kindness, compassion and hope to her patients. She respects their values and beliefs and attends to their spiritual needs. On a certain day, Nurse A notices that John seems to be anxious and restless despite the medical and physical attention he is receiving. She makes the patient comfortable and offers him a warm cup of milk. John begins to share his feelings about his life and the guilt he has about his drinking habits.....

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